Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... reticular, nodular ... low attenuation (table ... The cystic pattern ... #Differential #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #Pattern #MultipleNodules ... #Algorithm #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern
Chest XRay Nodule ... / Mass Pattern ... - Differential Algorithm ... #Mass #Pattern ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... Consolidation #Patterns ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... The HRCT - not shown ... #Interstitial #Pattern ... #RadiologyAssistant
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
prognosis β€’ Nodular ... β€’ Classic - Nodular ... lymphadenopathy more diffuse ... involvement, irregular pattern ... Lymphoproliferative #Disorders #Classification
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... centrilobular nodules ... are confluent, HRCT ... shows diffuse ground ... HypersenstitivityPneumonitis #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... : reticular nodular ... Interpretation #Algorithm ... #ILD #RadiologyAssistant